Inter-sectoral collaboration for One Health implementation in Vietnam: training, research and EIDs control policies

Transcription

1 Inter-sectoral collaboration for One Health implementation in Vietnam: training, research and EIDs control policies Hung Nguyen-Viet, Scott Newman, Pham Duc Phuc, Dao Thu Trang, David Payne International Symposium on One Health Research, Guangzhou, 23 November 2014

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3 Outline 1) 1. One Health and Ecohealth in Vietnam 2) 2. Training and Research 3) 3. Inter-sectoral One Health development 4) 4. Challenges and way forwards

4 Ecohealth Ecohealth framework assumes human, livestock, wildlife, and environmental health are integrally related 6 principles (IDRC, 2012) 1. Systems Thinking 2. Transdisciplinary Research 3. Participation 4. Sustainability 5. Gender and Social Equity Zoonoses 6. Knowledge to Action Sick animals

5 One Health The collaborative efforts of multiple disciplines working locally, nationally and globally to attain optimal health for people, animal and our environment (FAO, OIE, WHO, WB ) From theoretical to operational definition: One Health can be defined as the added value in terms of lives of animals and humans saved, financial savings and improved ecosystem services from a closer cooperation of human and animal health as compared to single sector approaches (Zinsstag et al., 2012)

6 Mapping of One Health issues, stakeholders and projects in Vietnam More than 40 national and regional One Health stakeholders at the central level, including Government of Viet Nam agencies, civic organizations and associations and universities who are active in Vietnam potentially involve in OH 26 internationally funded projects related to One Health have been identified In which 32 national agencies working at the national and regional levels and 20 international agencies are implementing projects 11 donors providing funding support to One Health PAHI (2013)

7 EcoEID GHI Emerging Pandemic Threats Program PREDICT RESPOND PREVENT IDENTIFY

8 One Health training in Vietnam One Health: Vietnam One Health University Network (VOHUN) Elective module Ecohealth: Ecohealth Field Building Leadership Initiative (FBLI) Short course Leadership Degree training Professional training Risk assessment: food safety, EIDs FETP: Field Epidemiology Training Program AVET : Applied Veterinary Epidemiology Training 12/2/2014 8

9 VOHUN (Vietnam One Health University Network) Hanoi (Network Secretariat): Hanoi School of Public Health Hanoi Medical University Hanoi University of Agriculture 17 UNIVERSITIES/SCHOOLS Bac Giang Agriculture and Forestry University Hue University: College of Medicine and Pharmacy College of Agriculture and Forestry Dak Lak: Tay Nguyen University, Faculty of Medicine and Pharmacy Hochiminh City: HCMC Medicine and Pharmacy University; HCMC University of Agriculture &-Forestry Emerging Pandemic Threats Program PREDICT RESPOND PREVENT IDENTIFY Thai Nguyen University: College of Medicine College of Agriculture & Forestry Hai Phong Medical University Thai Binh University of Medicine Nam Dinh University of Nursing Vinh Medical University Can Tho University of Medicine & Pharmacy University of agriculture

10 OH training module development SEAOHUN OH modules & OH activities examples Presented and discussed by all VOHUN members Identified the gaps Integrate OH modules into the current training program Optional OH training program for preventive medicine, public health & veterinary students In-service training for public health & vet professionals Reviews all of current training curriculum for medical, PH and Vet. Students Identified the relevant OH modules to be developed Development of the detail OH modules and materials Development of the specific case studies (e.g. Avian influenza, Rabies, Leptospirosis) Pilot 12/2/2014 training for students at the universities 10

11 OH training module development OH core competency modules 1. Collaboration and Partnership 2. Communication and Informatics 3. Culture, Beliefs, Values and Ethics 4. Leadership 5. Management 6. Policy, Advocacy and Regulation 7. Systems Thinking OH technical modules 1. One Health Concepts and Knowledge 2. Fundamentals of Infectious Disease 3. Infectious Disease Management 4. Epidemiology and Risk Analysis 5. Public Heath 6. Ecosystem Health 7. Behavior Development 8. One Health Economics 12/2/

12 Elective OH & Ecohealth Module for Preventive Medicine & Public Health Students Object: preventive medicine & public health students Subject: elective module Duration: 60 hours (3 credits) Starting time: Objectives: At the end of module students could: Present basic concepts of One Health & Ecohealth Analysis issues related to human health, animal health and environmental health in the ecosystem context Present the relationship between One Health / Ecohealth and Preventive Medicine and Public Health Identify the specific problems related to a One Health problem. Recommend an interdisciplinary solutions to solve the specific health problems (human, animal and environment). 12

13 EcoHealth Field Building Leadership Initiative in SE Asia (FBLI) Site based- concept Yuanmou (CN) Hanam (VN) Chachoengsao (TH) Pangalengen, West Java (ID)

14 DEGREE EDUCATION Degree Programmes In Eco-Health (2-3-year training of field builders) Future Leadership Training in Eco-Health (4-day training of potential leaders) New Generation of Eco-Health Field Builders Certificate Training or Training of the Trainers (1-week training of lecturers/advisors/etc.)

15 Multi-Disciplinary Responsible Units Mahidol University (Thailand) 1. Faculty of Graduate Studies 2. Faculty of Environmental and Resource Studies 3. Faculty of Public Health 4. Faculty of Science 5. Faculty of Social Science and Humanities 6. Faculty of Tropical Medicine 7. Faculty of Veterinary Science

16 Curriculum Structure For Ph.D. candidates holding a Bachelor s degree Required courses, not less than 12 credits Elective courses, not less than 12 credits Dissertation 48 credits Total 72 credits For Ph.D. candidates holding a Master s degree or Master students holding a Bachelor s degree Required courses, not less than 11 credits Elective courses, not less than 3 credits Dissertation 36 credits Total 50 credits

17 Required Courses SCID 505 Systems Ecology and Disease Emergence 3 (3-0) SCID 5XX Methodologies in Eco-health Research 3 (0-6) PHEP602 Principles of Epidemiology 3 (3-0) SCID 6XX Eco-health Seminar I - III 3 credits

18 Elective Courses Health and Environmental Science Module ENIE 501 Basic Principles of Environmental Science 3 (3-0) ENIE 534 Energy and Resource Efficiency 3(3-0-6) ENIE 531 Environmental Planning and Assessment 3(3-0-6) GRID 612 Cell and Molecular Biology 3 (3-0) GRID 617 Bioinformatics 2 (1-2) PHEP603 Epidemiological Studies in Infectious diseases 3 (3-0) PHMI1602 Ecology and Epidemiology of Infectious Diseases 3 (3-0) PHMI1621 Global Infectious Diseases Prevention and Control 3 (3-0) SCBI 505 Population and Community Ecology 3 (2-3-5) SCBI 518 Environmental Aquatic Toxicology 3 (2-3-5) SCBI 524 Environmental Biology and Management 3 ( 3-0-6) SCBI 530 Conservation Biology 3 (3-0-6) SCBI 532 Basic Principles of Sociobiology 3 (3-0-6) SCBI 539 Techniques in Ecology and Conservation 2 (0-6-3) SCBI 540 Behavioral Ecology 3 (2-3-5) SCBI 546 Population and Ecological Genetics 3 (3-0-6) SCBI 577 Host-Microbe Interactions 3 (3-0-6 SCBI 578 Techniques in Animal Cell and Tissue Culture 2 (0-6-3) SCBI 579 Research Techniques in Biological Sciences 2 (0-6-3)

19 One Health Research - AI, AMR, zoonoses - Still very disciplinary - Limited research & need more One Health case studies on the ground - More inter/trans-disciplinary

20 Where is FBLI active? Reduce pesticide use and its health and environment impact in Yuanmou County, Yunnan Province, China Better Human and Animal Waste Management in Hanam Province, Vietnam (Eco-HAWAM) Rubber Plantation Expansion and Increased Risk of Vector-Borne Diseases in Eastern Thailand Dairy Production: Connecting Issues and Finding Interventions for Small- Scale Farming in a Southeast Asian Context Yuanmou (CN) Site based- concept Hanam (VN) Chachoengsao (TH) Pangalengen, West Java (ID)

21 Inter-sectoral collaboration And EID control policies

22 Moving to a One Health approach in Viet Nam Global focus on animal health-human health coordination and singledisease response (SARS then AI) Global interministerial meetings (Beijing, Bamako, Delhi, Egypt, Hanoi) move beyond AI Hanoi IMCAPI 2010 affirms need for a global OH approach 1 st National One Health Conference 1 st Global OH Congress, Melbourne 2nd Global OH Congress PMAC, BKK 2 nd National One Heath Conference * Road map & Action plan 3rd Global OH Congress Amsterdam SARS S.C. Increasing OH focus of ODA: VAHIP, UNJP, EPT, AVET/FETP, VOHUN, etc. PAHI Partnership transitioning to the OH partnership Pandemic Influenza Steering Committee Avian Influenza Steering Committee MOH/MARD Joint Circular 16 H7N9, H6N6 etc. SARS Avian Influenza H5N1 Pandemic H1N1 Pandemic H1N1, Other diseases of concern, including rabies, strep suis, anthrax, leptospirosis, FMD, etc

23 Building on Avian Influenza efforts for a One Health approach to EIDs Focus on HPAI, human cases of Influenza A (H5N1), maintaining preparedness for a potential (influenza) pandemic & broaden to other diseases AIPED made a clear commitment to moving to a One Health approach in Vietnam, building on and sustaining the national response to avian influenza AIPED identified 15 key elements for consideration in the adoption of a One Health approach during the period Mainstreaming & linking to related areas for long-term sustainability

24 Moving towards a One Health approach MARD-MOH joint inter-ministerial circular (16) on coordinated prevention and control of zoonotic diseases (May 2013) Establishment of new DAH division on veterinary public health as well as the Emergency Operations Center located in GDPM office OH is in the national strategies Emerging Pandemic Threats activities, VAHIP, SEA-EU-NET and associated donor commitment Recognition of the need to include wildlife in animal health efforts and zoonotic risks One Health Communication Network for journalists

25 MARD-MOH joint inter-ministerial circular 16 on coordinated prevention and control of zoonotic diseases (May 2013) Jointly identified 5 priority diseases Avian influenza A (H5N1). Rabies Streptococcus suis Anthrax Leptospirosis Mode of operation Joint surveillance Outbreak investigation Communication on prevention and control Training and research

26 Challenges of One Health/ Ecohealth Institutional challenges: acceptance, policy engagement Capacity building: One Health workforce Incentives: how to share credits, added values of One Health Deeper coordination between sectors on human and animal (and wildlife) health and the environmental agencies Improving the translation of evidence and research into policy

27 Summary and conclusion One Health in Vietnam - Great attention and support from different level - Training in good way, but limited research - Inter-sectoral collaboration and policies: good enabling environment Challenges and ways forward - Capacity building: One Health workforce - Deeper coordination of sectors: further (re)-organization - Resources National One Health partnership